Wagoner Medical Center, Llc is a primary clinic (Family Medicine) in Burlington, Indiana. The current practice location for Wagoner Medical Center, Llc is 605 East 7th Street, Burlington, Indiana. For appointments, you can reach them via phone at
(765) 566-3351. The mailing address for Wagoner Medical Center, Llc is Po Box 38, Burlington, Indiana and phone number is (765) 566-3351.
Wagoner Medical Center, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1457421497. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(765) 566-3351.
Primary Care Clinic Profile
| Full Name | Wagoner Medical Center, Llc |
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| Speciality | Family Medicine |
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| Location | 605 East 7th Street, Burlington, Indiana |
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| Authorized Official Name and Position | Michelle Wagoner (ADMINISTRATOR) |
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| Authorized Official Contact | 7655663351 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wagoner Medical Center, Llc
Po Box 38
Burlington
IN 46915-0038
Ph: (765) 566-3351 | Wagoner Medical Center, Llc
605 East 7th Street
Burlington
IN 46915-0038
Ph: (765) 566-3351 |
NPI Details:
| NPI Number | 1457421497 |
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| Provider Enumeration Date | 11/08/2006 |
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| Last Update Date | 05/15/2009 |
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Medical Identifiers
Medical identifiers for Wagoner Medical Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457421497 | NPI | - | NPPES |
| 200062260 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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